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GREEN RIVER DISTRICT HEALTH DEPARTMENT NPI 1558699439


NPI Information

NPI: 1558699439
Provider Name: GREEN RIVER DISTRICT HEALTH DEPARTMENT

Doing Business As: OCTC-WKU HEALTH CLINIC

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
4800 NEW HARTFORD RD
OWENSBORO, KY
ZIP 42303
Phone: (270) 686-4668
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GREEN RIVER DISTRICT HEALTH DEPARTMENT is a public health or welfare in Owensboro, KY. GREEN RIVER DISTRICT HEALTH DEPARTMENT NPI is 1558699439. The provider is registered as an organization entity type.
The provider Is Doing Business As Octc-wku Health Clinic.

The provider's business location address is:

4800 NEW HARTFORD RD
OWENSBORO, KY
ZIP 42303-800
Phone: (270) 686-4668
Fax: (270) 686-4687

The provider's authorized official is Angel Thompson .
The authorized official title is Administrative Services Manager and has the following contact phone number (270) 686-7747.

The enumeration date for this NPI number is 12/3/2009 and was last updated on 12/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDKENTUCKY
2PENDINGMEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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